CA2827127C

CA2827127C - System for purging negative pressure wound therapy system

Info

Publication number: CA2827127C
Application number: CA2827127A
Authority: CA
Inventors: Richard Coulthard; Kevin Bendele; James Luckemeyer; Christopher Locke
Original assignee: KCI Licensing Inc
Current assignee: Solventum Intellectual Properties Co
Priority date: 2011-04-20
Filing date: 2012-04-20
Publication date: 2020-03-10
Anticipated expiration: 2032-04-20
Also published as: EP2699279A1; JP6050806B2; CN103379925A; EP4166167A1; CN103379925B; JP2014515667A; EP2699279B1; US20120271257A1; US9907888B2; EP3269405A3; US11305046B2; CA2827127A1; WO2012145612A1; AU2012245339A1; US20180200415A1; EP3269405A2; US20220203011A1

Abstract

Systems and methods for purging a negative pressure wound therapy system.

Description

DESCRIPTION
SYSTEM FOR PURGING NEGATIVE PRESSURE WOUND THERAPY SYSTEM
[0001]
BACKGROUND OF THE INVENTION
FIELD OF THE INVENTION

[0002] This invention relates to a system and method for purging a negative pressure wound therapy system.
DESCRIPTION OF THE RELATED ART

[0003] The referenced shortcomings are not intended to be exhaustive, but rather are among many that tend to impair the effectiveness of previously known techniques in purging a negative pressure wound therapy (NPWT) system. However, those mentioned here are sufficient to demonstrate that the methodologies appearing in the art have not been satisfactory and that a significant need exists for the techniques described and claimed in this disclosure.

[0004] Advanced NPWT devices and systems use multiple fluid channels to provide therapeutic negative pressure, transport wound products (liquid and solid) and monitor the applied negative pressure close to the wound site (via additional tubing lumens, typically).
During this process several problems can be encountered, which can cause therapy to be interrupted or accuracy to be compromised.

[0005] For example, the therapy line may be blocked by highly viscous fluids, solid matter, or wound products coagulating in the line due to long residency time when flow is restricted under low leak conditions. In addition, the wound pressure sensing line may be blocked by wound fluid and/or instillation fluid.

[0006] Current practice in some advanced NPWT products is to periodically vent the wound pressure sensing line to atmosphere (near the pump/sensor end of the line), which allows the vacuum in the wound dressing to pull a short burst of air into the wound and thus attempt to clear a blockage in the sensing lumen(s). However, when instillation therapy is used in conjunction with NPWT, there can be little or no vacuum at the wound site.
- I -Moreover, there is a tendency for practitioners to over-fill the wound with instillation fluid, which can drive instillation fluid up the wound pressure sensing lines and thereby prevent accurate sensing of wound pressure until the fluid in the wound pressure sensing lumen(s) is removed. Wound pressure sensing is accurate only if there is a clear air path between the sensor and wound site, and wound pressure sensing will be degraded if there are slugs of fluid in the sensing lines.
SUMMARY OF THE INVENTION

[0007] From the foregoing discussion, it should be apparent that a need exists for effective systems and methods for purging an NPWT system.

[0008] Systems and methods are presented for purging an NPWT system. The method in the disclosed embodiments substantially includes the steps necessary to carry out the functions presented above with respect to the operation of the described system.

[0009] Certain embodiments comprise a system for purging a negative pressure wound therapy system. In particular embodiments, the system may comprise a negative pressure source comprising an inlet and an outlet, where the inlet is configured for fluid communication with a wound therapy dressing via a first conduit, and the outlet is configured for fluid communication with a wound therapy dressing via a second conduit.
Particular embodiments may also comprise a diverter valve coupled to the second conduit, where the diverter valve is configured to allow a fluid flow from the negative pressure source to atmosphere when the diverter valve is in a first position and where the diverter valve is configured to allow a fluid flow from the negative pressure source to a wound therapy dressing through the second conduit when the diverter valve is in a second position.

[0010] In particular embodiments, the diverter valve can be configured to prevent fluid flow from the negative pressure source to a wound therapy dressing through the second conduit when the diverter valve is in the first position. In specific embodiments, the diverter valve can be configured to prevent a fluid flow from the negative pressure source to atmosphere when the diverter valve is in the second position. Certain embodiments may further comprise a pressure sensor configured to detect the pressure in the second conduit.
Particular embodiments may also comprise a reservoir in fluid communication with the first and second conduits.

[0011] In specific embodiments, the diverter valve may be a piezoelectric valve. In particular embodiments, the negative pressure source can comprise a vacuum pump. Certain

12 PCT/US2012/034429 embodiments may further comprise a pump configured to deliver instillation fluid to a wound therapy dressing.
[0012] Particular embodiments may comprise a method of purging a negative pressure wound therapy system. In certain embodiments, the method can comprise operating a negative pressure source coupled to a wound therapy dressing, where: the negative pressure source comprises an inlet and an outlet; the inlet is in fluid communication with the wound therapy dressing via a first conduit; the outlet is in fluid communication with the wound therapy dressing via a second conduit; the second conduit is in fluid communication with a diverter valve; the diverter valve is configured to allow a fluid flow from the negative pressure source to atmosphere when the diverter valve is in a first position;
and the diverter is configured to allow a fluid flow from the negative pressure source to the wound therapy dressing through the second conduit when the diverter valve is in a second position. Certain embodiments comprise operating the negative pressure source to provide a negative pressure at the wound therapy dressing with the diverter valve in the first position;
and manipulating the diverter valve from the first position to the second position.

[0013] In particular embodiments, the fluid flow can purge an obstruction from either the first or second conduit when the diverter valve is in the second position.
Certain embodiments can further comprise detecting the pressure of the first conduit via a first pressure sensor. Specific embodiments further comprise detecting the pressure of the second conduit via a second pressure sensor. In certain embodiments, manipulating the diverter valve from the first position to the second position can be performed when the pressure of the first or second pressure sensor reaches a first predetermined value. In particular embodiments, manipulating the diverter valve can be performed automatically by an electronic control circuit. In certain embodiments, the diverter valve can comprise a piezoelectric valve.

[0014] In particular embodiments, the negative pressure source can comprise a vacuum pump. Particular embodiments, can further comprise manipulating the diverter valve from the second position back to the first position. Certain embodiments further comprise repeatedly manipulating the diverter valve between the first and second positions.

[0015] Specific embodiments further comprise detecting the pressure in the first or second conduit, and wherein manipulating the diverter valve from the second position back to the first position is performed when the pressure in the first or second conduit reaches a second predetermined value.

[0016] 20. A tangible computer readable medium comprising computer readable code that, when executed by a computer, causes the computer to perform operations comprising the steps set forth in claims 9-19.

[0017] Exemplary embodiments of the present disclosure comprise a valve placed at the outlet (e.g., positive pressure side) of a negative pressure source in an NPWT
system. In certain embodiments, the valve can either channel the flow to atmosphere (e.g, via a silencing device) or divert some or all of the flow to the wound pressure sensing channel. During normal negative pressure therapy, the valve can be set to the exhaust position. When a blockage is detected or suspected (or during instillation) the negative pressure in the system can be relieved and the valve can be used in combination with the negative pressure source to circulate air through a sensing channel (thus clearing any blockage in the sensing lumen) to the connector pad of a wound dressing and then back through the therapy line and canister/reservoir.

[0018] In exemplary embodiments, air is not added to the system and the dressing will not become pressurized. Matter or obstructions caught in the sensing or therapy channels can eventually be collected in the reservoir, which may incorporate a fluid/air separation membrane.

[0019] The level of pressure utilized in exemplary embodiments can be varied depending on the conditions. A blockage may require a higher level of pressure whereas maintaining open sensing lines during instillation may require less pressure.

[0020] In certain embodiments the reservoir can be vented to atmosphere (using an additional valve, not shown) during the instillation cycle, to avoid pulling the instillation fluid from the wound site. The outlet valve can be used to allow the negative pressure source (e.g., a vacuum pump) to pull atmospheric air through the pump and provide a slight positive pressure through the wound pressure sensing lines to prevent instillation fluid from entering the lines.

[0021] In certain embodiments utilizing a multiple-patient-use therapy device, microbial filters may be incorporated to the system for recirculating air through the multiple-patient-use negative pressure source. Alternatively, the negative pressure source exhaust could be used to drive an isolation diaphragm to indirectly pump positive pressure into the wound dressing from a filtered ambient source.

[0022] Exemplary embodiments of the present disclosure comprise numerous advantages over existing systems. For example, exemplary embodiments are configured to clear fluid lines without applying high pressures to the wound site, as well as to avoid the use of a high negative pressure pump source to try to clear an obstruction. Furthermore, exemplary embodiments are configured to decrease the likelihood of fluid entering a pressure sensing line during instillation. Finally, exemplary embodiments are configured to regulate the air recirculation path (e.g. with a variable valve at the pump exhaust), in order to maintain wound vacuum in the presence of dressing leaks.

[0023] Other features and associated advantages will become apparent with reference to the following detailed description of specific embodiments in connection with the accompanying drawings.

[0024] The term "coupled" is defined as connected, although not necessarily directly, and not necessarily mechanically. The terms "a" and "an" are defined as one or more unless this disclosure explicitly requires otherwise.

[0025] The term "substantially" and its variations are defined as being largely but not necessarily wholly what is specified as understood by one of ordinary skill in the art, and in one non-limiting embodiment "substantially" refers to ranges within 10%, preferably within 5%, more preferably within 1%, and most preferably within 0.5% of what is specified.

[0026] The terms "comprise" (and any form of comprise, such as "comprises"
and "comprising"), "have" (and any form of have, such as "has" and "having"), "include" (and any form of include, such as "includes" and "including") and "contain" (and any form of contain, such as "contains" and "containing") are open-ended linking verbs. As a result, a method or device that "comprises," "has," "includes" or "contains" one or more steps or elements possesses those one or more steps or elements, but is not limited to possessing only those one or more elements. Likewise, a step of a method or an element of a device that "comprises," "has," "includes" or "contains" one or more features possesses those one or more features, but is not limited to possessing only those one or more features. Furthermore, a device or structure that is configured in a certain way is configured in at least that way, but may also be configured in ways that are not listed.
BRIEF DESCRIPTION OF THE DRAWINGS

[0027] The following drawings form part of the present specification and are included to further demonstrate certain aspects of the present invention. The invention may be better understood by reference to one or more of these drawings in combination with the detailed description of specific embodiments presented herein.

[0028] FIG. 1 is a schematic block diagram illustrating one embodiment of a system purging an NPWT system in a first mode of operation.

[0029] FIG. 2 is a schematic block diagram of the embodiment of FIG. 1 in a second mode of operation.

[0030] FIG. 3 is a flowchart illustrating a series of steps that can be performed in one embodiment of a method for purging an NPWT system.
DETAILED DESCRIPTION

[0031] Various features and advantageous details are explained more fully with reference to the nonlimiting embodiments that are illustrated in the accompanying drawings and detailed in the following description. Descriptions of well known starting materials, processing techniques, components, and equipment are omitted so as not to unnecessarily obscure the invention in detail. It should be understood, however, that the detailed description and the specific examples, while indicating embodiments of the invention, are given by way of illustration only, and not by way of limitation. Various substitutions, modifications, additions, and/or rearrangements within the spirit and/or scope of the underlying inventive concept will become apparent to those skilled in the art from this disclosure.

[0032] In the following description, numerous specific details are provided, such as examples of programming, software modules, user selections, network transactions, database queries, database structures, hardware modules, hardware circuits, hardware chips, etc., to provide a thorough understanding of the present embodiments. One skilled in the relevant art will recognize, however, that the invention may be practiced without one or more of the specific details, or with other methods, components, materials, and so forth.
In other instances, well-known structures, materials, or operations are not shown or described in detail to avoid obscuring aspects of the invention.

[0033] FIGS. 1-2 illustrate one embodiment of a system 100 for purging and providing fluid delivery to a negative pressure wound therapy system. In the exemplary embodiment shown, system 100 includes a reservoir 110, a wound dressing 120 coupled to a wound 122, and a negative pressure source 130 comprising an inlet 132 and an outlet 134.
In this embodiment, negative pressure source 130 is coupled to, and in fluid communication with, reservoir 110 and wound dressing 120 via first conduit 135. During operation of system 100, reservoir 110 can be used to capture wound fluids.

[0034] In particular exemplary embodiments, negative pressure source 130 may comprise a diaphragm vacuum pump, a piezoelectric pump, or a micro-pump, including those sold under the VortisTm brand name. In certain embodiments, system 100 may also comprise a filter or muffler 137 coupled to negative pressure source 130 to reduce the operating noise of negative pressure source 130 and/or filter air exiting negative pressure source 130.

[0035] Certain exemplary embodiments, may also comprise a fluid flow device (not shown), e.g. comprise a peristaltic, centrifugal or other suitable pump, to provide instillation fluid to wound dressing 120. In other exemplary embodiments, a fluid flow device may comprise a gravity feed system instead of (or in conjunction with) a pump to deliver fluid to wound dressing 120.

[0036] The exemplary embodiment shown in FIGS. 1-2 also comprises a pressure sensor 160 coupled to, and in fluid communication with, wound dressing 120 via a second conduit 165. In certain embodiments, portions of second conduit 165 may be referred to as a "pressure sensing line", and portions of first conduit 135 may be referred to as a "therapy line".

[0037] The disclosed embodiment further comprises a diverter valve 140 configured for manipulation from a first position to a second position. In certain embodiments, diverter valve 140 may comprise a piezoelectric valve or solenoid valve. In particular embodiments, diverter valve 140 may be manipulated automatically via an electronic control circuit. In certain embodiments, valve 140 may be a manually operated valve, and system 100 may comprise an input control for valve 140.

[0038] In this exemplary embodiment, diverter valve 140 is configured to allow a fluid flow (e.g. air flow) from the negative pressure source to atmosphere when diverter valve 140 is in the first position. In addition, diverter valve 140 is configured to allow a fluid flow (e.g., air flow) from the negative pressure source to the wound therapy dressing (via second conduit 165) when the diverter valve is in a second position. In certain embodiments, diverter valve 140, can be placed in a plurality of positions from fully open to fully closed, as well as partially-open intermediate positions between the fully open and fully closed positions.

[0039]
Referring specifically to FIG. 1, arrows A-E indicate the direction of fluid flow (e.g. air andlor instillation fluid) when diverter valve 140 is in the first position and negative pressure source 130 activated. As shown in this embodiment, fluid flows from wound 122 through wound dressing 120 (indicated by arrow A), into conduit 135 (arrow B) and then reservoir 110. From reservoir 110, fluid flows into inlet 132 of negative pressure source 130 (indicated by arrow C) and exits from outlet 134 (indicated by arrow D). At this point in the system, diverter valve 140 directs the fluid flow to atmosphere (indicated by arrow E) through filter or muffler 137. With diverter valve 140 in the position shown in FIG.
1, fluid flow is restricted from conduit 165 and pressure sensor 160.

[0040] Referring now specifically to FIG. 2, arrows B-G indicate the direction of fluid flow (e.g. air and/or instillation fluid) when diverter valve 140 is in the second position and negative pressure source 130 activated. Similar to the embodiment shown in FIG. 1, fluid flows from wound dressing 120 through conduit 135 (indicated by arrow B) and into reservoir 110. From reservoir 110, fluid (e.g. air) flows into inlet 132 of negative pressure source 130 (indicated by arrow C) and exits from outlet 134 (indicated by arrow D). At this point in the system, diverter valve 140 has been moved from the first position shown in FIG. 1 to the second position shown in FIG. 2. In the second position, diverter valve 140 directs fluid flow to conduit 165, pressure sensor 160 and reservoir 110 (indicated by arrow F).
From this point, fluid flow is directed to wound dressing 120 (indicated by arrow G).
When fluid flow reaches wound dressing 120, it then travels through wound insert 120 to conduit 135 (indicated by arrow H). At this stage, fluid flow enters first conduit 135 (indicated by arrow B) and the fluid flow cycle is repeated.

[0041] In exemplary embodiments, the fluid flow cycle shown and described in FIG. 2 can be continued for the desired duration. Wound dressing 120, or other components such as conduits 135 and 165, can be cleared of obstructions due to the changes in fluid flow and/or pressure resulting from the manipulation of diverter valve 140. In exemplary embodiments, obstructions cleared from system components can be collected in reservoir 110, allowing a clear path for fluid flow through system 100. It is understood that certain embodiments may not include certain components illustrated in FIGS. 1 and 2, e.g. reservoir 110 or pressure sensor 160. In certain embodiments, negative pressure source 130 may comprise an internal reservoir configured to collect obstructions cleared from system 100.

[0042] In certain embodiments, diverter valve 140 can be manipulated back and forth between the positions shown in FIGS. 1 and 2 in order to cyclically vary the fluid flow and/or pressure throughout system 100. In certain embodiments, diverter valve 140 can be held in an intermediate position to maintain a low flow of air through conduit 165.

[0043] The schematic flow chart diagrams that follow are generally set forth as logical flow chart diagrams. As such, the depicted order and labeled steps are indicative of one embodiment of the presented method. Other steps and methods may be conceived that are equivalent in function, logic, or effect to one or more steps, or portions thereof, of the illustrated method. Additionally, the format and symbols employed are provided to explain the logical steps of the method and are understood not to limit the scope of the method.
Although various arrow types and line types may be employed in the flow chart diagrams, they are understood not to limit the scope of the corresponding method.
Indeed, some arrows or other connectors may be used to indicate only the logical flow of the method. For instance, an arrow may indicate a waiting or monitoring period of unspecified duration between enumerated steps of the depicted method. Additionally, the order in which a particular method occurs may or may not strictly adhere to the order of the corresponding steps shown.

[0044] FIG. 3 illustrates one embodiment of a method 200 for purging a negative pressure wound therapy system. Method 200 comprises a series of steps that may be executed for the operation of an exemplary system according to this disclosure. Certain embodiments may comprise a tangible computer readable medium comprising computer readable code that, when executed by a computer, causes the computer to perform operations comprising the steps disclosed in FIG. 3.

[0045] Step 210 comprises positioning a diverter valve coupled to the outlet of the negative pressure source to exhaust fluid flow from the outlet of the negative pressure source to atmosphere. In this exemplary embodiment, step 220 comprises activating a negative pressure source in a negative pressure wound therapy system to create negative pressure on a wound dressing. Step 230 comprises manipulating the position of the diverter valve to direct fluid flow from the exhaust of the negative pressure system to the wound dressing. Step 240 comprises allowing fluid flow to recirculate in the negative pressure wound therapy system.
Step 250 comprises manipulating the position of the diverter valve to direct fluid from the exhaust of the negative pressure source to the wound dressing to purge any blockage in the pressure sensor line. The control cycle repeats as needed with Step 230 to maintain desired wound vacuum.

[0046] All of the methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the systems and methods have been described in terms of preferred embodiments, it will be apparent to those of skill in the art that variations may be applied to the methods and in the steps or in the sequence of steps of the method described herein without departing from the concept, spirit and scope of the invention. In addition, modifications may be made to the disclosed system, and components may be eliminated or substituted for the components described herein where the same or similar results would be achieved. For example, rather than a diverter valve on the outlet of the negative pressure source, one or more check valves could be utilized along with a negative pressure source configured to provide reversible fluid flow.

[0047] All such similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit, scope, and concept of the invention as defined by the appended claims.

Claims

CLAIMS:

1. A system for purging a negative pressure wound therapy system, the system comprising:
a first conduit configured to be coupled to a wound therapy dressing to supply reduced pressure to the wound therapy dressing;
a second conduit configured to be coupled to the wound therapy dressing to sense a pressure in the wound therapy dressing;
a negative pressure source comprising an inlet and an outlet, wherein:
the inlet is configured for fluid communication with the wound therapy dressing via the first conduit; and the outlet is configured for fluid communication with the wound therapy dressing via the second conduit; and a diverter valve coupled to the second conduit, wherein the diverter valve is configured to allow a fluid flow from the negative pressure source to atmosphere when the diverter valve is in a first position and wherein the diverter valve is configured to allow a fluid flow from the negative pressure source to a wound therapy dressing through the second conduit when the diverter valve is in a second position.

2. The system of claim 1, wherein the diverter valve is configured to prevent fluid flow from the negative pressure source to the wound therapy dressing through the second conduit when the diverter valve is in a second position.

3. The system of claim 1 wherein the diverter valve is configured to prevent a fluid flow from the negative pressure source to atmosphere when the diverter valve is in the second position.

4. The system of claim 1 further comprising a pressure sensor configured to detect the pressure in the second conduit.

5. The system of claim 1 further comprising a reservoir in fluid communication with the first and second conduits.

6. The system of claim 1 wherein the diverter valve is a piezoelectric valve.

7. The system of claim 1 wherein the negative pressure source comprises a vacuum pump.

8. The system of claim 1 further comprising a pump configured to deliver instillation fluid to the wound therapy dressing.

9. Use of a negative pressure wound therapy system having a a first conduit configured to be coupled to a wound therapy dressing to supply reduced pressure to the wound therapy dressing;
a second conduit configured to be coupled to the wound therapy dressing to sense a pressure in the wound therapy dressing; and a negative pressure source operable and configured to be coupled to the wound therapy dressing, wherein:
the negative pressure source comprises an inlet and an outlet;
the inlet is configured to be in fluid communication with the wound therapy dressing via the first conduit;
the outlet is configured to be in fluid communication with the wound therapy dressing via the second conduit;
the second conduit is in fluid communication with a diverter valve;
the diverter valve is configured to allow a fluid flow from the negative pressure source to atmosphere when the diverter valve is in a first position; and the diverter is configured to allow a fluid flow from the negative pressure source to the wound therapy dressing through the second conduit when the diverter valve is in a second position;
wherein the negative pressure source is operable to provide a negative pressure at the wound therapy dressing with the diverter valve in the first position; and the diverter valve is configured to be manipulated from the first position to the second position.

10. Use of a negative pressure wound therapy system in accordance with claim 9 wherein the fluid flow is configured to purge an obstruction from either the first or second conduit when the diverter valve is in the second position.

11. Use of a negative pressure wound therapy system in accordance with claim 9 wherein a first pressure sensor is configured to detect the pressure of the first conduit.

12. Use of a negative pressure wound therapy system in accordance with claim 11 wherein a second pressure sensor is configured to detect the pressure of the second conduit.

13. Use of a negative pressure wound therapy system in accordance with claim 12 wherein the diverter valve is configured to be manipulated from the first position to the second position when the pressure of the first or second pressure sensor reaches a first predetermined value.

14. Use of a negative pressure wound therapy system in accordance with claim 13 wherein the diverter valve is configured to be manipulated automatically by an electronic control circuit.

15. Use of a negative pressure wound therapy system in accordance with claim 9 wherein the diverter valve comprises a piezoelectric valve.

16. Use of a negative pressure wound therapy system in accordance with claim 9 wherein the negative pressure source comprises a vacuum pump.

17. Use of a negative pressure wound therapy system in accordance with claim 9 wherein the diverter valve is configured to be manipulated from the second position back to the first position.

18. Use of a negative pressure wound therapy system in accordance with claim 17 wherein the diverter valve is configured to be repeatedly manipulated between the first and second positions.

19. Use of a negative pressure wound therapy system in accordance with claim 17, wherein the pressure in the first or second conduit is detectable, and wherein the diverter valve is configured to be manipulated from the second position back to the first position when the pressure in the first or second conduit reaches a second predetermined value.

20. Use of a negative pressure wound therapy system in accordance with any one of claims 9-19, wherein a tangible computer readable medium comprising computer readable code is configured to operate the negative pressure source to provide the negative pressure at the wound therapy dressing with the diverter valve in the first position and manipulate the diverter valve from the first position to the second position.